| Name Of the Firm : | Maa Tarini Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po : Sabrang, Dist:Bhadrak, Plot No.2426, Khata No.1257/474 |
| RP Name : | Sri Rabindra Ku. Dash |
| Registration Number : | 18716(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Shyam Sundar Samant |
| R : | BH-25635/R |
| RC : | BH-25636/RC |
| RX : | BH-9875/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 7/7/2010 |
| Date of Expiry : | 7/6/2015 |
| Remarks : | Up to date licence |